就业状况、就业条件与限制性疾病：来自1991 - 2001年英国家庭调查小组的前瞻性证据
Employment status, employment conditions, and limiting illness: prospective evidence from the British household panel survey 1991-2001.
作者信息
Bartley M, Sacker A, Clarke P
机构信息
Department of Epidemiology and Public Health, University College London Medical School, London, UK.
出版信息
J Epidemiol Community Health. 2004 Jun;58(6):501-6. doi: 10.1136/jech.2003.009878.
OBJECTIVES
To assess the relation of the incidence of, and recovery from, limiting illness to employment status, occupational social class, and income over time in an initially healthy sample of working age men and women.
METHODS
Cox proportional hazards models.
RESULTS
There were large differences in the risk of limiting illness according to occupational social class, with men and women in the least favourable employment conditions nearly four times more likely to become ill than those in the most favourable. Unemployment and economic inactivity also had a powerful effect on illness incidence. Limiting illness was not a permanent state for most participants in the study. Employment status was also related to recovery.
CONCLUSIONS
Having secure employment in favourable working conditions greatly reduces the risk of healthy people developing limiting illness. Secure employment increases the likelihood of recovery. These findings have considerable implications for both health inequality and economic policies.
目的
在一个初始健康的工作年龄男性和女性样本中，评估随着时间推移，限制性疾病的发病率及康复情况与就业状况、职业社会阶层和收入之间的关系。
方法
采用Cox比例风险模型。
结果
根据职业社会阶层，患有限制性疾病的风险存在很大差异，就业条件最不利的男性和女性患病的可能性几乎是最有利者的四倍。失业和经济不活跃对疾病发病率也有很大影响。对本研究的大多数参与者来说，限制性疾病并非一种永久性状态。就业状况也与康复有关。
结论
在有利的工作条件下拥有稳定的工作，可大大降低健康人群患有限制性疾病的风险。稳定的工作增加了康复的可能性。这些发现对健康不平等和经济政策都具有重要意义。
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